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CHARISSE MACK, PA
PA
Physician Assistant
NPI: 1801973615IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-632(ID)
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
PA632(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2006
Contact & Hours
- Address
- 6140 CURTISIAN AVE, SUITE 400
BOISE, ID 83704 - Phone
- (208) 367-3500
Quick Facts
- NPI
- 1801973615
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 20
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